Tag Archives: Sentinel Lymph Node Biopsy

General Surgery, Print Release

PUBLISHED: Wide Local Excision of an Intermediate-Thickness Back Melanoma with a Sentinel Lymph Node Biopsy of Left Axillary Lymph Nodes

Wide Local Excision of an Intermediate-Thickness Back Melanoma with a Sentinel Lymph Node Biopsy of Left Axillary Lymph Nodes
Kailan Sierra-Davidson, MD, DPhil1; Ogonna N. Nnamani Silva, MD2; Sonia Cohen, MD, PhD1
1Massachusetts General Hospital
2Brigham and Women’s Hospital

Wide local excision (WLE) with sentinel lymph node biopsy (SLNB) remains the cornerstone for treatment of patients with intermediate-thickness and thick melanoma lesions with clinically negative nodes. This procedure involves resection of the melanoma with circumferential margins including all the subcutaneous tissue to the level of the deep fascia. WLE is accompanied by lymphatic mapping in order to localize, resect, and analyze the sentinel node(s) for the presence of lymph node metastases. In this paper with accompanying animation and video, a 40-year-old otherwise healthy patient presents with a new melanoma on his back diagnosed via biopsy. The surgical management of intermediate-thickness melanoma and rationale for treatment are reviewed, and recent advances in postoperative treatment of those with clinically occult regional disease are highlighted.

Announcement, Content, General Surgery, Preprint Release

PREPRINT RELEASE: Lumpectomy with Sentinel Node Biopsy

Lumpectomy with Sentinel Node Biopsy
Massachusetts General Hospital

Barbara Smith, MD, PhD
Professor of Surgery
Harvard Medical School

Dr. Barbara Smith at MGH performs a lumpectomy and sentinel lymph node biopsy on a female patient who had palpable breast cancer. This case was part of a study featuring Lumicell technology, which looks for residual tumor following the lumpectomy with the goal of reducing rates of recurrence.